|| DukeMedNews || Andrea Lukes

Andrea Lukes
Director of Gynecology, Women’s Hemostasis and Thrombosis Clinic, Gynecologic Specialties

Interests:
Dr. Lukes manages all gynecologic issues in females (adolescents and adults) with bleeding or clotting disorders. She is the principal investigator in a multicenter CDC sponsored treatment trial for women with bleeding disorders.

The most common problem Dr. Lukes manages is excessive menstrual bleeding (menorrhagia) and other menstrual problems or abnormal uterine bleeding. Her clinic focuses on providing comprehensive diagnostic and therapeutic options for women. Unfortunately, only in one-half of the cases do we find a reason for abnormal uterine bleeding. In the last decade we have begun to recognize that women with excessive menstrual bleeding may have underlying bleeding disorder, the most common being von Willebrand Disease. Still, the more common problems for excessive menstrual bleeding include uterine fibroids, endometrial polyps, adenomyosis, and infections.

Dr. Lukes is interested in understanding the causes of menstrual problems and offers comprehensive diagnostic and therapeutic options. Diagnositc options include clinical history and physical examination, pelvic ultrasound including saline infused sonography, endometrial sampling (within office and hysteroscopic guided sampling). Laboratory work includes assessments for anemia, blood disorders, endocrine disorders, etc. Therapeutic options include alternatives to hysterectomy, many medications, the levonorgestrel-intrauterine system, endometrial ablations (5 technologies now available), hysteroscopic surgery, myomectomies, uterine artery embolization (with radiology), as well as hysterectomies.

Office Phone: (919) 684-9699 or (919) 681-5788
Fax: (919) 681-7292 or (919) 681-5929
Email:lukes001@mc.duke.edu